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sarose611

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  1. She should lose her license, yes. But any criminal charges should involuntary manslaughter. It not like she set out to kill someone, and this will forever haunt her as it is.
  2. Nursing school gives you a taste of what several kinds of nursing jobs are available. They cannot go into any real depth. New grads need a couple of years in Med-Surg to solidify their knowledge of general basic health problems. Not time management, but learn it to recognize subtle changes in multi-disorder patients. If one I s an experienced LVN/LON, they may require less basic training, though their role as an RN is vastly different.
  3. Are you in San Antonio, Texas? We also.had an arrogant paleontologist that fought constantly with nurses! One stood up to him and she became his favorite nurse!
  4. To many to count or list here. One of the latest, a patient with an obviously infected belly wound. Smelled terrible (to her everlasting embarrassment) oozing frank pus. Doctor would not culture, order antibiotics, nothing because no nurse was going to tell him what to do(we reported to him as home health providers. He never even saw her.) We finally went behind his back and got her PCP to order cultures: Strep A. She ordered abx, finally.
  5. Work out on the floor, when they are no longer critical, have visitors all day, and think they are "well." Having worked both ICU and various med-surg floors, I promise its a very different atmosphere..
  6. Having worked in multiple acute care areas,as well as mental health, home health, and insurance, I have some concerns. You should have some solid skills from nursing school, and I hope you made your mentor aware you were drowning in yourexternship. In my opinion, a new grad should never start in ICU, ED, L&D. These are frantic,high stress areas that require split second recognition of problems, and equally fast responses. Med-surg for a year or twowillhelpthetransition from 2 patients in school to 8-10 patients in the real world. Home health has th he same limitations. You are, frankly, not ready to Be out on your own, making decisions in a home setting with little or no backup. LTD would be much slower, and give you time to get your feet under you. Working part time in a small hospital might also. Be an option. Check with your state board to see if your state has some opportunities for extended internships, or other further training. Hang in there, take a deep breath, settle down. You can do this!
  7. Well while I certainly agree that there is discrimination, this article.seems to reinforce, rather than reduce it. I am NOT 20 years old. Why should I act like I am? If I have some trouble with technology, assist me. I assist you when nursing issues arise that you've never even seen, much less cared for. I have grey hair and wrinkles, and while I am not obese(as many of my younger colleagues are) I have put on a few pounds over the years. It does not affect my ability, knowledge, or willingness to care for patients. I am proud of my years, mlly experience, my ongoing education. I should not have to act like a new graduate to work!
  8. The louder the screaming from the family, the more issues and dysfunction in the family.
  9. This is all true. Back in the day (more than 30 years!) We had no DNR. EVERYONE was forced to try and stay alive! We transported bodies to the morgue in some specialized gurneys that hid the body, and even so, we had to use a back hallway, the freight elevators, so there was no chance of anyone actually encountering a dead body. We speak in metaphors: people pass over, go home,pass away, kick the bucket, buy the farm. We are afraid to even say DIED, DEATH, DYING. Dying Is as natural as birthing, living, eating, breathing. We need to weave aging and dying back into our normal society.
  10. Bedside nursing is fine, but generally it is too physical for aging nurses. Our bodies get destroyed by years of lifting, pulling, walking very fast(no running!) No breaks, starvation, abuse to kidneys and gut for inability to use the toilet until 12 hour shift is over. By around 50, many have arthritis, sciatica, severe varicose veins, and some have developed drinking problems, or drug problems affecting their livers. High blood problems from constant stress, resulting in CVD. I Remember seeing a woman in her 60s working nights because her husband was ill, and I thought "I don't want to be doing this in my 60s." I have a degree, but it didn't necessarily make alternatives available. The physicality of nursing has increased exponentially in the last 2 decades. I think fewer and fewer older nurses will continue at the bedside.
  11. We were taught to only use gloves when necessary, as it inferred alienation with the patient. Same with isolation: only as much as absolutely needed. But we WERE supposed to wear gloves for cleaning up excrement, urine, blood, etc.
  12. Things varied a lot in the 80s depending on where you were in the country, as well as where you worked. Private hospitals generally still had whites caps, nursing shoe's, white hosiery. Teaching hospitals were moving away from some of that. I worked in Texas. We had team nursing, each member having specific duties, with the RN as charge over everyone. Night nurses got a lot of scout work dumped on them, since night's were quiet "because all the patients are asleep!" Preops were admitted the night before and prepared for surgery. The overall mix of patients activities was more varied. Some very ill, some 2-3 days position, some getting tests, some preparing to discharge. I remember my floor ran 30 patients with 1-2aides, 2-3 LPN/LVNs and 1 RN. How confrontational depended on the nurse, and how questioning was received depended on the Doctor. Younger usually ok, older Doctors not so much!
  13. I would hope no one would go out and getting blind drunk. After all, we know the long term consequences! When I worked nights, we had a couple of bars t hat opened at 7am for us to have happy hour. A couple of drinks, wide-ranging and venting, then home to bed!
  14. My BSN program did clinical and theoretical work. We also did a research proposal, using APA formatting, as preparation if we ever were involved in research. If you work in home health you WILL have some overlap with social services, in teaching and improving family support and understanding, as well as preparation for taking on the care of their loved one. If you ever decide to be a parish nurse, these skills will be precious. If you decide down the line to be a school nurse, an occupational nurse, a forensic nurse, a BSN will be required. Not all nursing is done in the hospital, and they are preparing you to work anywhere, at least at the entry level.
  15. After you graduatevand pass the NCLEX, more places will consider you. Try a long term care facility, where the pace is slower than an acute care hospital. Do not apply to.home health. Those nurses operate with a high level of independence, and do require a fair amount of experience. Some hospitals will hire you into a program that works you in certain areas with a mentor. That may last from 3-6months. It gives you some support while you obtain experience and comfort in an acute care setting. Take a deep breath, don't folreak out just yet. With so many crying about a nurse shortage, I can't believe you wont be hired somewhere.Oooooooo

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